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hypernatremia icd 10
Boland T; Henderson GV; Gibbons FK; Brouwers HB; Greenberg SM; Raffeld M; Kourkoulis CE; Rosand J; Christopher KB
BACKGROUND AND PURPOSE: In patients with intracerebral drain (ICH), it is not bright if hypernatremia is alone a brand of ache severity or if animated sodium levels are harmful. We accepted that hypernatremia at hospital acquittal in primary ICH patients would be associated with added bloodshed afterward discharge.
METHODS: We performed a two-center empiric abstraction of alarmingly ill ICH patients in Boston. We advised 5100 patients, age ≥18 years, who were diagnosed with ICH (ICD-9 cipher 431), accustomed medical or surgical analytical affliction amid 1997 and 2011 and survived hospitalization. The acknowledgment of absorption was serum sodium aural 24 h of hospital discharge, categorized as Na ≤ 145 mmol/L and Na > 145 mmol/L. The primary aftereffect was 30-day post-discharge mortality. Odds ratios were estimated by logistic corruption models adapted for age, race, gender, Deyo-Charlson Index, accommodating blazon (medical against surgical) and sepsis.
RESULTS: In ICH patients who accustomed analytical affliction and survived hospitalization, the serum sodium at acquittal was a augur of post-discharge mortality. Patients with a acquittal Na > 145 mmol/L accept an OR for bloodshed in the 30 days afterward hospital acquittal of 1.82 (95 %CI 1.38-2.38; P < 0.001) and an adapted OR of 1.87 (95 %CI 1.40-2.48; P < 0.001) both about to patients with a acquittal Na ≤ 145 mmol/L. The adapted archetypal showed acceptable bigotry AUC 0.77 (95 %CI 0.74-0.79) and arrangement (Hosmer-Lemeshow χ (2) P = 0.68).
CONCLUSIONS: In alarmingly ill ICH patients who survive hospitalization, hypernatremia at the time of acquittal is a able-bodied augur of post-discharge mortality.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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ICD10-CM , ICD10-PCS cardiovascular presentation | hypernatremia icd 10[/caption]
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ICD10-CM , ICD10-PCS cardiovascular presentation | hypernatremia icd 10[/caption]
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